| NPI | 1265250039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 20851) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2024-10-01 |
| Last Update Date | 2026-01-05 |